Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $425.00 / $522.50	Professional		$425.00	$425.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $127.50 / $127.50 / $154.00	Professional	26	$127.50	$127.50	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $297.50 / $297.50 / $368.50	Professional	TC	$297.50	$297.50	$368.50
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $629.01 / $629.01 / $629.01	Facility	26	$629.01	$629.01	$629.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $619.64 / $1,724.85 / $1,799.00	Professional		$619.64	$1,724.85	$1,799.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $135.30 / $159.49 / $428.24	Professional	26	$135.30	$159.49	$428.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $474.00 / $474.00 / $558.74	Professional	TC	$474.00	$474.00	$558.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.27 / $1,024.66 / $1,724.85	Professional		$585.27	$1,024.66	$1,724.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $133.35 / $151.58 / $428.24	Professional	26	$133.35	$151.58	$428.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $433.69 / $500.04 / $1,403.04	Professional	TC	$433.69	$500.04	$1,403.04
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $585.27 / $1,024.66 / $1,724.85	Professional		$585.27	$1,024.66	$1,724.85
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $138.90 / $151.58 / $428.24	Professional	26	$138.90	$151.58	$428.24
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $433.69 / $500.04 / $953.29	Professional	TC	$433.69	$500.04	$953.29
United Facility/Professional Professional Modifier Low / Median / High Price $445.90 / $893.13 / $1,834.79	Professional		$445.90	$893.13	$1,834.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.22 / $152.03 / $455.54	Professional	26	$104.22	$152.03	$455.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $348.63 / $708.14 / $1,379.25	Professional	TC	$348.63	$708.14	$1,379.25